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Drug interactions

Leuprolide + Osilodrostat

Severity: Moderate

Leuprolide and Osilodrostat: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Osilodrostat can prolong the QT interval, and leuprolide may add to this effect. Risk is higher with hypokalemia, since osilodrostat can also lower potassium.

What this interaction means in plain words

Leuprolide and Osilodrostat can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Leuprolide belongs to Endocrine; Osilodrostat belongs to Endocrine.

Evidence level: Low

Why it happens

Additive pharmacodynamic QT prolongation.

What to do

Obtain a baseline ECG and repeat after starting therapy, and keep potassium and magnesium normal.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Leuprolide with Osilodrostat?

MediHelp rates the interaction as moderate. Leuprolide and Osilodrostat can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Osilodrostat can prolong the QT interval, and leuprolide may add to this effect. Risk is higher with hypokalemia, since osilodrostat can also lower potassium.

How serious is the interaction between Leuprolide and Osilodrostat?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Obtain a baseline ECG and repeat after starting therapy, and keep potassium and magnesium normal.

What other medicines interact with Leuprolide?

MediHelp also lists interactions of Leuprolide with, for example, Pimozide, Thioridazine, Amisulpride. The full list is on the Leuprolide page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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